It's 1:50 p.m. on a recent weekday at the intensive care unit of Toronto's Hospital for Sick Children as a trio of women try to solve the latest problem.
One is waiting in the emergency department and two others are at community hospitals. There's currently no space for them at the intensive care unit, so staff need a plan on how to care for them until beds open up.
The hospital has 42 physical pediatric ICU beds – not counting its neonatal intensive care unit – but struggles to staff more than 36 on any given day. The number of patients who can be cared for depends on how many staff might call in sick. They first look within the ICU's staffing pool and then turn to other departments for help. On this day, they put a call out for six nurses to work overnight. Thankfully, enough stepped up.
The ICU gradually came under greater pressure, both from SickKids patients and as other hospitals needed to transfer children in for specialized care.
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